Vital Records Common Library (VRCL) FHIR Implementation Guide
2.0.0 - STU2 United States of America flag

Vital Records Common Library (VRCL) FHIR Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/vr-common-library/ and changes regularly. See the Directory of published versions

ValueSet: Value Set - Birth Attendants Titles Vital Records

Official URL: http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-birth-attendant-titles-vr Version: 2.0.0
Active as of 2026-06-01 Computable Name: ValueSetBirthAttendantTitlesVitalRecords

Copyright/Legal: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement

This valueset contains codes to represent the type of birth attendant titles. It is based on the original PHVS_BirthAttendantTitles_NCHS PHINVADS valueset. This IG is the primary source for valuesets for use in vital records.

Mapping to IJE codes here.

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

This value set includes codes based on the following rules:

  • Include these codes as defined in http://snomed.info/sct version Not Stated (use latest from terminology server)
    CodeDisplay
    309343006Medical Doctor
    76231001Osteopath
    445521000124102Advanced Practice Midwife
    445531000124104Lay Midwife
  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-NullFlavor version 📍2018-08-12
    CodeDisplay
    OTH Other
    UNK Unknown

 

Expansion

Expansion from tx.fhir.org based on:

  • SNOMED CT United States edition 01-Sep 2025
  • codesystem v3 Code System NullFlavor version 2018-08-12

This value set contains 6 concepts

SystemCodeDisplay (en)DefinitionJSONXML
http://snomed.info/sct  309343006Physician
http://snomed.info/sct  76231001Osteopath
http://snomed.info/sct  445521000124102Advanced practice midwife
http://snomed.info/sct  445531000124104Lay midwife
http://terminology.hl7.org/CodeSystem/v3-NullFlavor  OTHother

Description:The actual value is not a member of the set of permitted data values in the constrained value domain of a variable. (e.g., concept not provided by required code system).

                       Usage Notes: This flavor and its specializations are most commonly used with the CD datatype and its flavors.  However, it may apply to *any* datatype where the constraints of the type are tighter than can be conveyed.  For example, a PQ that is for a true measured amount whose units are not supported in UCUM, a need to convey a REAL when the type has been constrained to INT, etc.

                    With coded datatypes, this null flavor may only be used if the vocabulary binding has a coding strength of CNE.  By definition, all local codes and original text are part of the value set if the coding strength is CWE.
http://terminology.hl7.org/CodeSystem/v3-NullFlavor  UNKunknown

Description:A proper value is applicable, but not known.

                       Usage Notes: This means the actual value is not known.  If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used.  No properties should be included for a datatype with this property unless:

                    
                       Those properties themselves directly translate to a semantic of "unknown".  (E.g. a local code sent as a translation that conveys 'unknown')
                       Those properties further qualify the nature of what is unknown.  (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)

Description of the above table(s).